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General NPI Number Information
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NPI Number | 1689804189
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Entity Type | Organization
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Legal Business Name | DAVID A. PLANK, L.C.S.W., P.A.
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Dates
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Enumeration Date | 07/17/2009
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Last Update Date | 07/17/2009
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Provider Practice Location Address
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Address Line | 608 N GREENE ST
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City | GREENSBORO
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State | NC
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Zip | 27401-2024
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Country | US
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Telephone | 336-833-3253
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Fax | 336-274-4299
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Provider Business Mailing Address
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Address Line | PO BOX 41201
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City | GREENSBORO
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State | NC
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Zip | 27404-1201
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Country | US
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Telephone | 336-833-3253
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Fax | 336-274-4299
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | MR. DAVID A PLANK
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Credential | MSW, LCSW
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Telephone | 336-833-3253
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C002926
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License Number State | NC
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